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It Doesn't Have to Hurt: How Cutting Edge Science and Good Habits Can Stop the Hurt
Transform your everyday life by reducing and eliminating chronic pain with the latest science-backed pain relief techniques and expert practical advice from America’s bestselling doctor and neurosurgeon Sanjay Gupta.
Are you one of the 52 million people who experience chronic pain in your day-to-day life? In It Doesn’t Have to Hurt, Sanjay Gupta makes the empowering argument that there are effective options for relief that you can start practicing today to greatly reduce your chances of suffering pain tomorrow.
The significance of reducing and even eliminating pain cannot be overstated. Gupta shows how pain carries an enormous amount of physical, social, and emotional baggage, which is, in part, why it has been so hard to treat, and too often ignored. It can also present in infinite ways. Yet both patients and practitioners labor under the mistaken idea that most pain problems can be fixed with a drug or procedure. It turns out we have tremendous agency in choosing how we’ll respond. The brain “creates” pain, but it also has the capacity to reduce or even eliminate it. There is more evidence than ever about the benefits of sleep, diet and nutrition, mindfulness-based pain management (MBPM), myofascial and other hands-on treatments, as well as yoga, specialized psychotherapies, and even social “prescriptions”—prompting more doctors than ever to focus on these solutions.
Gupta runs the gamut of conventional and complementary approaches, including the technique known as Mobilization Exercise Analgesia Treatment, foam rolling, acupuncture, trigger point injections, and vital “prehabilitation” before any operation. He shares how to make sense of all those over-the-counter pills, patches, and pain products, as well as drugs advertised on television or prescribed by your doctors. He covers psychedelics, supplements, and CBD. And he highlights insights from some of the nation’s leading pain scientists and specialists, plus stories of challenge and triumph over pain by those with lived experience.
Gupta sorts through them all with his pain-smart guide to a pain-smart life.
With expert guidance and a wealth of science-backed strategies, It Doesn’t Have to Hurt is your ultimate resource for reclaiming your life from chronic pain and unlocking a future of lasting relief—starting today.
Are you one of the 52 million people who experience chronic pain in your day-to-day life? In It Doesn’t Have to Hurt, Sanjay Gupta makes the empowering argument that there are effective options for relief that you can start practicing today to greatly reduce your chances of suffering pain tomorrow.
The significance of reducing and even eliminating pain cannot be overstated. Gupta shows how pain carries an enormous amount of physical, social, and emotional baggage, which is, in part, why it has been so hard to treat, and too often ignored. It can also present in infinite ways. Yet both patients and practitioners labor under the mistaken idea that most pain problems can be fixed with a drug or procedure. It turns out we have tremendous agency in choosing how we’ll respond. The brain “creates” pain, but it also has the capacity to reduce or even eliminate it. There is more evidence than ever about the benefits of sleep, diet and nutrition, mindfulness-based pain management (MBPM), myofascial and other hands-on treatments, as well as yoga, specialized psychotherapies, and even social “prescriptions”—prompting more doctors than ever to focus on these solutions.
Gupta runs the gamut of conventional and complementary approaches, including the technique known as Mobilization Exercise Analgesia Treatment, foam rolling, acupuncture, trigger point injections, and vital “prehabilitation” before any operation. He shares how to make sense of all those over-the-counter pills, patches, and pain products, as well as drugs advertised on television or prescribed by your doctors. He covers psychedelics, supplements, and CBD. And he highlights insights from some of the nation’s leading pain scientists and specialists, plus stories of challenge and triumph over pain by those with lived experience.
Gupta sorts through them all with his pain-smart guide to a pain-smart life.
With expert guidance and a wealth of science-backed strategies, It Doesn’t Have to Hurt is your ultimate resource for reclaiming your life from chronic pain and unlocking a future of lasting relief—starting today.
1 pages, Audio CD
Published September 9, 2025
519 people are currently reading
824 people want to read
About the author
Sanjay Gupta
121 books387 followersLibrarian Note: There is more than one author with this name in the Goodreads database
Sanjay Gupta is an American physician and a contributing CNN chief health correspondent based in Atlanta, Georgia. An assistant professor of neurosurgery at Emory University School of Medicine and associate chief of the neurosurgery service at Grady Memorial Hospital in Atlanta, he is also a frequent guest on the news program Anderson Cooper 360°. "Charity Hospital" won a 2006 Emmy Award for Outstanding Feature Story in a Regularly Scheduled Newscast. From 1997 to 1998, he served as one of fifteen White House Fellows, primarily as an advisor to Hillary Clinton. Gupta currently publishes a column in TIME magazine. He is also host of House Call with Dr Sanjay Gupta. His book Chasing Life was a New York Times and National bestseller. As of January 2009, he has been offered the position of Surgeon General of the United States in the incoming administration of President-elect Barack Obama; the final vetting is currently under way.
Sanjay Gupta is an American physician and a contributing CNN chief health correspondent based in Atlanta, Georgia. An assistant professor of neurosurgery at Emory University School of Medicine and associate chief of the neurosurgery service at Grady Memorial Hospital in Atlanta, he is also a frequent guest on the news program Anderson Cooper 360°. "Charity Hospital" won a 2006 Emmy Award for Outstanding Feature Story in a Regularly Scheduled Newscast. From 1997 to 1998, he served as one of fifteen White House Fellows, primarily as an advisor to Hillary Clinton. Gupta currently publishes a column in TIME magazine. He is also host of House Call with Dr Sanjay Gupta. His book Chasing Life was a New York Times and National bestseller. As of January 2009, he has been offered the position of Surgeon General of the United States in the incoming administration of President-elect Barack Obama; the final vetting is currently under way.
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Displaying 1 - 30 of 47 reviews
August 25, 2025
When I saw that Sanjay Gupta had written a book on pain I was instantly intrigued. I know that Dr. Gupta as many interests beside neuroscience and has reported and research many others over the years. As someone who has watched Dr. Gupta on CNN as Chief Medical Correspondent and am an avid listener of his podcast Chasing Life, I knew I wanted to read this book. Also, being someone with Rheumatoid Arthritis (RA) an autoimmune disease I was interested to see what he might have to say about it in this book. I loved learning about how in someways we ourselves control some of our pain, our reactions, our past experiences, how we even take care of our bodies prior to illness and or injury or surgeries. Recovery can also looks completely different from one patient to the next even when they have experienced the exact same surgery.
Pain isn’t universal for all, but Dr. Gupta dives into all aspects of pain and backs up all his information with studies and feet from patients and other physicians.
Thank you NetGalley and Simon & Schuster for entrusting me with this eARC in return for my honest review. I believe this book can be helpful for people in pain, those taking care of people in pain and really everyone.
Pain isn’t universal for all, but Dr. Gupta dives into all aspects of pain and backs up all his information with studies and feet from patients and other physicians.
Thank you NetGalley and Simon & Schuster for entrusting me with this eARC in return for my honest review. I believe this book can be helpful for people in pain, those taking care of people in pain and really everyone.
October 17, 2025
But what if it does? What if the pain is intractable beyond anything but some suppression through coping? This book gives an expansive overview of modalities for treating pain, and the list grows with more and more non-invasive behavioral aspects. One example apropos to here is reading, yep, sort of Zen-like concentration/mindfulness of attention .. ; but we'y'all knew that now didn't we! For me though, most interesting was the research being conducted through brain implanted apparatus that's beginning to MAP pain in the body/brain OBJECTIVELY .. this is the grail of pain consciousness. In the meantime, I'll just keep readin' books on that trail of tears, joys & phere's: open chain.
September 30, 2025
Pros: Lots of interesting information, sometimes even going beyond the usual, “Have you tried mindfulness, acupuncture, or tai chi for your chronic pain?” I did learn a lot.
The author read the audiobook himself and he’s pretty good.
Cons: While Gupta’s heart is clearly in the right place, some of his advice seems a bit disingenuous. When he suggests doing some “digging in the garden” as a way to commune with nature and thus reduce pain, my eye roll was almost painful in itself.
The author read the audiobook himself and he’s pretty good.
Cons: While Gupta’s heart is clearly in the right place, some of his advice seems a bit disingenuous. When he suggests doing some “digging in the garden” as a way to commune with nature and thus reduce pain, my eye roll was almost painful in itself.
April 7, 2025
Those with chronic pain are too familiar with the ups and downs in life that come with it. This book gives them hope – hope for some type of relief.
He starts with a personal story of Dr. Sanjay Gupta’s 82-year-old mother. She called him in a panic – a mother who never called her son, the brilliant surgeon, unless it was urgent. She lost her balance and seriously injured her back. Of course, he dropped everything to be by her side.
Besides the important work he does at the hospital, he's also a remarkable investigative reporter and writer. He understands his audience which makes this book a must for those who are looking for relief from pain. He gives solid information that makes sense. Even if you think you’ve learned all there is to know, this may give you something else to consider.
Dr. Gupta provides a review of the drugs that are on the market – some that are no longer used much and others that are new. He presents several alternative methods that may be helpful: injection therapies such as nerve blocks, gel injections, Botox, acupuncture and more.
He also talks about people who have benefited from yoga, meditation, mindfulness, art classes and taking walks in nature. We all know the importance of sleep, a healthy diet and exercise plan. He makes you rethink about the items on your grocery list.
I have been diagnosed with chronic pain and this book was unexpected how it helped me understand more about myself and what I can do to find different paths of support. It’s convincing and highly recommended.
My thanks to Simon & Schuster and NetGalley for allowing me to read an advanced copy of this book with an expected release date of September 2, 2025.
He starts with a personal story of Dr. Sanjay Gupta’s 82-year-old mother. She called him in a panic – a mother who never called her son, the brilliant surgeon, unless it was urgent. She lost her balance and seriously injured her back. Of course, he dropped everything to be by her side.
Besides the important work he does at the hospital, he's also a remarkable investigative reporter and writer. He understands his audience which makes this book a must for those who are looking for relief from pain. He gives solid information that makes sense. Even if you think you’ve learned all there is to know, this may give you something else to consider.
Dr. Gupta provides a review of the drugs that are on the market – some that are no longer used much and others that are new. He presents several alternative methods that may be helpful: injection therapies such as nerve blocks, gel injections, Botox, acupuncture and more.
He also talks about people who have benefited from yoga, meditation, mindfulness, art classes and taking walks in nature. We all know the importance of sleep, a healthy diet and exercise plan. He makes you rethink about the items on your grocery list.
I have been diagnosed with chronic pain and this book was unexpected how it helped me understand more about myself and what I can do to find different paths of support. It’s convincing and highly recommended.
My thanks to Simon & Schuster and NetGalley for allowing me to read an advanced copy of this book with an expected release date of September 2, 2025.
October 18, 2025
Overall, I enjoyed and found much useful information in Sanjay Gupta’s self-help medical book, “It Doesn’t Have to Hurt”, although it is not my normal reading matter and didn't really focus on solutions to the chronic back pain I am experiencing.
But a good friend gave it to me, hoping it would help me deal with the back pain that has been hard to fix for more than a year and remains far more painful standing and walking than I keep hoping for, despite seeking almost a half dozen traditional medical solutions.
Gupta made me realize that I should be more positive about my life even if I am unable to do what I want to and had been doing and encouraged me to seek out more socializing opportunities since I’ve felt isolated and lonely.
Before reading this, I had been bothered by being unable to determine how I had injured myself so severely after living and playing tennis three times a week for quite awhile with moderate back pain.
But he cited a study that almost 36 % of people with chronic back pain don’t know what they did to cause it. Similar studies led to the aforementioned changes in positivity and socializing. It felt better simply knowing I wasn’t alone.
He also made me decide to look more into acupuncture than I had ever considered before if my second surgery (I’m now in recovery and feeling better but not good enough.) doesn’t get me to where a want to be – playing tennis and being able to travel again.
And I have already followed up on spices he said people can take to ease their pain and have used a breathing technique he suggested to help me get back to sleep during all too frequent difficulties returning to the land of nod.
Most of the book focuses on psychological and personal changes anyone suffering from non-structural chronic pain might consider as ways to improve or co-exist with their injury.
The first thing I did when I received the gift was to check the index to see what he said about stenosis, scoliosis, and sciatica – the three main problems I am dealing with.
I immediately learned that he thought that surgery was the best option for people who have structural spinal issues, like me. He had a sentence describing sciatica and said nothing about scoliosis. And I don’t think I know anyone who had used any of the techniques he mentioned.
So a lot of his advice didn’t help me. Some of it seemed too much like cheer leading, felt very redundant by the end of the book, and dipped too often into medical jargon that sounded like medical mumbo jumbo.
However, since reading this has been worthwhile for me despite the limitations I’ve mentioned, I recommend it for anyone and most certainly for anyone experiencing non-structural chronic pain.
But a good friend gave it to me, hoping it would help me deal with the back pain that has been hard to fix for more than a year and remains far more painful standing and walking than I keep hoping for, despite seeking almost a half dozen traditional medical solutions.
Gupta made me realize that I should be more positive about my life even if I am unable to do what I want to and had been doing and encouraged me to seek out more socializing opportunities since I’ve felt isolated and lonely.
Before reading this, I had been bothered by being unable to determine how I had injured myself so severely after living and playing tennis three times a week for quite awhile with moderate back pain.
But he cited a study that almost 36 % of people with chronic back pain don’t know what they did to cause it. Similar studies led to the aforementioned changes in positivity and socializing. It felt better simply knowing I wasn’t alone.
He also made me decide to look more into acupuncture than I had ever considered before if my second surgery (I’m now in recovery and feeling better but not good enough.) doesn’t get me to where a want to be – playing tennis and being able to travel again.
And I have already followed up on spices he said people can take to ease their pain and have used a breathing technique he suggested to help me get back to sleep during all too frequent difficulties returning to the land of nod.
Most of the book focuses on psychological and personal changes anyone suffering from non-structural chronic pain might consider as ways to improve or co-exist with their injury.
The first thing I did when I received the gift was to check the index to see what he said about stenosis, scoliosis, and sciatica – the three main problems I am dealing with.
I immediately learned that he thought that surgery was the best option for people who have structural spinal issues, like me. He had a sentence describing sciatica and said nothing about scoliosis. And I don’t think I know anyone who had used any of the techniques he mentioned.
So a lot of his advice didn’t help me. Some of it seemed too much like cheer leading, felt very redundant by the end of the book, and dipped too often into medical jargon that sounded like medical mumbo jumbo.
However, since reading this has been worthwhile for me despite the limitations I’ve mentioned, I recommend it for anyone and most certainly for anyone experiencing non-structural chronic pain.
August 30, 2025
***I received an ARC from Net Galley in exchange for my honest review
I wanted to read this book because I suffer from multiple chronic pain issues, and I was hoping it contained the magic recipe to getting my life back. A large portion of the book discusses case studies, stories from patient visits, and personal experiennce. I admit I did get frustrated with some of the stories of patient visits because I could relate so well to a couple of them, and it just described all of the pain they were in and why and then ended it. I would have loved to known what measures were taken, to give me an idea of what might work for me, as well. I did appreciate that he didn't focus on just one or two types of pain, but rather a wide range of conditions, and what types of OTC meds, and exercises worked best for different conditions. I also appreciated the information about an inflammatory diet - what to eat & not eat, and why. Overall, if you are a chronic pain sufferer, then you need to have this in your arsenal!
I wanted to read this book because I suffer from multiple chronic pain issues, and I was hoping it contained the magic recipe to getting my life back. A large portion of the book discusses case studies, stories from patient visits, and personal experiennce. I admit I did get frustrated with some of the stories of patient visits because I could relate so well to a couple of them, and it just described all of the pain they were in and why and then ended it. I would have loved to known what measures were taken, to give me an idea of what might work for me, as well. I did appreciate that he didn't focus on just one or two types of pain, but rather a wide range of conditions, and what types of OTC meds, and exercises worked best for different conditions. I also appreciated the information about an inflammatory diet - what to eat & not eat, and why. Overall, if you are a chronic pain sufferer, then you need to have this in your arsenal!
October 8, 2025
Pain is inherently challenging to quantify objectively due to its subjective nature, which varies in intensity among individuals even when exposed to the same stimulus. The book explores both established treatments and alternative solutions for managing pain.
It adopts a comprehensive approach, leaving no stone unturned. By presenting a wide array of viable options, readers are encouraged to explore each alternative at their own pace.
It says 'No' to nothing. It refutes nothing.
The text distinguishes between practices that are supported by robust medical research and those that lack empirical evidence, often being more akin to folklore. It also introduces innovative concepts, such as advanced biomedical brain implants, highlighting the potential future of pain management.
Topics covered include diet, meditation, medication, healing practices, and the importance of social connections, all framed with a feel of, “Why not?”
It adopts a comprehensive approach, leaving no stone unturned. By presenting a wide array of viable options, readers are encouraged to explore each alternative at their own pace.
It says 'No' to nothing. It refutes nothing.
The text distinguishes between practices that are supported by robust medical research and those that lack empirical evidence, often being more akin to folklore. It also introduces innovative concepts, such as advanced biomedical brain implants, highlighting the potential future of pain management.
Topics covered include diet, meditation, medication, healing practices, and the importance of social connections, all framed with a feel of, “Why not?”
October 22, 2025
This book was a mix of new information and old, 'already heard it' information. There was also a lot of medical jargon that that I found dry and difficult to understand (as a non-medical person). I enjoy hearing some of the tips, even though a lot of them I heard before, because it helps reinforce the ideas and keep them present in my mind.
Pain can be a mix of physical and psychological, so it's often hard for doctors to diagnose and treat the true cause. Sometimes pain can be a misfiring in the brain leading people to think they are in pain when they really aren't. I sometimes feel like it is a black hole when a cause cannot be found. Pain is a way of your body telling you something is wrong and we need help, but sometimes the body/brain lies to us.
A difficult topic for anyone to truly understand, but I like learning more about it.
Pain can be a mix of physical and psychological, so it's often hard for doctors to diagnose and treat the true cause. Sometimes pain can be a misfiring in the brain leading people to think they are in pain when they really aren't. I sometimes feel like it is a black hole when a cause cannot be found. Pain is a way of your body telling you something is wrong and we need help, but sometimes the body/brain lies to us.
A difficult topic for anyone to truly understand, but I like learning more about it.
May 11, 2025
Book Review: It Doesn’t Have to Hurt: Your Smart Guide to a Pain-Free Life by Dr. Sanjay Gupta
Rating: ★★★★☆ (4/5)
Overview
In It Doesn’t Have to Hurt: Your Smart Guide to a Pain-Free Life, renowned neurosurgeon and medical journalist Dr. Sanjay Gupta delivers a comprehensive, science-backed exploration of pain management. Blending medical expertise with accessible writing, Gupta demystifies chronic pain, debunks common myths, and provides practical strategies for relief. The book stands out for its holistic approach, integrating conventional medicine, lifestyle adjustments, and emerging therapies to empower readers in their journey toward pain-free living.
Strengths
Evidence-Based, Reader-Friendly Approach
Gupta excels at translating complex medical concepts into digestible insights without oversimplifying. He supports his recommendations with current research, ensuring credibility while maintaining readability for a general audience.
Holistic and Multidisciplinary Perspective
Rather than focusing solely on pharmaceuticals or surgery, the book emphasizes a whole-body approach. Topics include nutrition, sleep, stress management, physical therapy, and alternative treatments (e.g., acupuncture, mindfulness), offering a well-rounded toolkit for pain relief.
Debunking Myths and Reducing Stigma
Gupta challenges misconceptions about pain (e.g., “no pain, no gain,” overreliance on opioids) and addresses the psychological and emotional dimensions of chronic pain, fostering a more compassionate understanding.
Actionable Strategies
Each chapter includes practical tips, exercises, and self-assessment tools, enabling readers to apply concepts immediately. The emphasis on small, sustainable changes enhances long-term adherence.
Patient-Centered Narrative
Case studies and patient stories humanize the science, making the content relatable and inspiring. Gupta’s empathetic tone reassures readers that their pain is valid and manageable.
Limitations
Limited Depth on Specific Conditions
While the book covers broad principles of pain management, readers with niche or severe conditions (e.g., fibromyalgia, rare neurological disorders) may need supplemental resources tailored to their diagnoses.
Variable Accessibility of Recommendations
Some suggestions (e.g., specialized therapies, dietary changes) may be difficult to implement due to cost, location, or individual constraints, though Gupta generally offers low-barrier alternatives.
Preventative Focus Over Acute Care
The book leans heavily toward chronic pain management and prevention, with less guidance for acute pain or post-injury recovery.
Theoretical and Cultural Significance
Shift Toward Integrative Medicine
The book reflects a growing trend in healthcare that prioritizes combining traditional and complementary therapies, aligning with patient demand for personalized, less invasive treatments.
Opioid Crisis Context
Gupta’s critique of overprescription and his advocacy for non-pharmacological interventions contribute to critical conversations about safer, sustainable pain management in the wake of the opioid epidemic.
Empowerment Through Education
By equipping readers with knowledge, the book challenges paternalistic medical models, encouraging active patient participation in care decisions.
Comparison to Similar Works
Compared to The Way Out by Alan Gordon (which focuses on pain reprocessing therapy), Gupta’s guide is broader in scope, covering diverse interventions. It shares similarities with The Pain Relief Handbook by Chris Johnson but is more engaging for lay readers due to Gupta’s journalistic flair. Unlike purely clinical texts, this book balances rigor with approachability.
Conclusion
It Doesn’t Have to Hurt is a timely, empowering resource for anyone grappling with pain—whether occasional or chronic. Dr. Gupta’s authority, coupled with his ability to distill science into actionable advice, makes this book a standout in popular health literature. While not exhaustive for all pain types, its holistic framework and compassionate tone offer hope and practical solutions.
Acknowledgments
Thank you to NetGalley and Dr. Sanjay Gupta for providing an advance review copy. This book is a testament to the power of patient education in transforming lives.
Final Verdict
A must-read for patients and caregivers alike, blending cutting-edge science with real-world applicability. ★★★★☆ (4/5) for its breadth, clarity, and empathetic approach.
Rating: ★★★★☆ (4/5)
Overview
In It Doesn’t Have to Hurt: Your Smart Guide to a Pain-Free Life, renowned neurosurgeon and medical journalist Dr. Sanjay Gupta delivers a comprehensive, science-backed exploration of pain management. Blending medical expertise with accessible writing, Gupta demystifies chronic pain, debunks common myths, and provides practical strategies for relief. The book stands out for its holistic approach, integrating conventional medicine, lifestyle adjustments, and emerging therapies to empower readers in their journey toward pain-free living.
Strengths
Evidence-Based, Reader-Friendly Approach
Gupta excels at translating complex medical concepts into digestible insights without oversimplifying. He supports his recommendations with current research, ensuring credibility while maintaining readability for a general audience.
Holistic and Multidisciplinary Perspective
Rather than focusing solely on pharmaceuticals or surgery, the book emphasizes a whole-body approach. Topics include nutrition, sleep, stress management, physical therapy, and alternative treatments (e.g., acupuncture, mindfulness), offering a well-rounded toolkit for pain relief.
Debunking Myths and Reducing Stigma
Gupta challenges misconceptions about pain (e.g., “no pain, no gain,” overreliance on opioids) and addresses the psychological and emotional dimensions of chronic pain, fostering a more compassionate understanding.
Actionable Strategies
Each chapter includes practical tips, exercises, and self-assessment tools, enabling readers to apply concepts immediately. The emphasis on small, sustainable changes enhances long-term adherence.
Patient-Centered Narrative
Case studies and patient stories humanize the science, making the content relatable and inspiring. Gupta’s empathetic tone reassures readers that their pain is valid and manageable.
Limitations
Limited Depth on Specific Conditions
While the book covers broad principles of pain management, readers with niche or severe conditions (e.g., fibromyalgia, rare neurological disorders) may need supplemental resources tailored to their diagnoses.
Variable Accessibility of Recommendations
Some suggestions (e.g., specialized therapies, dietary changes) may be difficult to implement due to cost, location, or individual constraints, though Gupta generally offers low-barrier alternatives.
Preventative Focus Over Acute Care
The book leans heavily toward chronic pain management and prevention, with less guidance for acute pain or post-injury recovery.
Theoretical and Cultural Significance
Shift Toward Integrative Medicine
The book reflects a growing trend in healthcare that prioritizes combining traditional and complementary therapies, aligning with patient demand for personalized, less invasive treatments.
Opioid Crisis Context
Gupta’s critique of overprescription and his advocacy for non-pharmacological interventions contribute to critical conversations about safer, sustainable pain management in the wake of the opioid epidemic.
Empowerment Through Education
By equipping readers with knowledge, the book challenges paternalistic medical models, encouraging active patient participation in care decisions.
Comparison to Similar Works
Compared to The Way Out by Alan Gordon (which focuses on pain reprocessing therapy), Gupta’s guide is broader in scope, covering diverse interventions. It shares similarities with The Pain Relief Handbook by Chris Johnson but is more engaging for lay readers due to Gupta’s journalistic flair. Unlike purely clinical texts, this book balances rigor with approachability.
Conclusion
It Doesn’t Have to Hurt is a timely, empowering resource for anyone grappling with pain—whether occasional or chronic. Dr. Gupta’s authority, coupled with his ability to distill science into actionable advice, makes this book a standout in popular health literature. While not exhaustive for all pain types, its holistic framework and compassionate tone offer hope and practical solutions.
Acknowledgments
Thank you to NetGalley and Dr. Sanjay Gupta for providing an advance review copy. This book is a testament to the power of patient education in transforming lives.
Final Verdict
A must-read for patients and caregivers alike, blending cutting-edge science with real-world applicability. ★★★★☆ (4/5) for its breadth, clarity, and empathetic approach.
October 24, 2025
I feel like this book was well written, my honest opinion is this book is for someone who is recently new dealing with pain. I feel like someone who has years into pain management will know every single thing in this book and reading it is pointless as I felt like maybe it would give me something I didnt know, and it gave me nothing than the fact to wake up and deal with pain positively.
October 16, 2025
It’s okay mostly common tips on how to stay healthy and manage stress but few good real life patient experiences. Not many fresh ideas.
Sanjay wrote this book about pain management for everyone. This book is divided into two parts first part describe about how pain is wired into body and it reacts.In second part methods how to mitigate and manage pain.
Learnings:
After surgery pain counseling or simply talking is really important for patient to feel better and keep control over pain
We need to keep moving/exercising inactivity promotes health problems/pain.
Regular advice sleep and anti inflammatory food like unprocessed is Crucial for long term health.
Savour the day- think of good memories regularly as it changes our brain and helps manage it.
Sanjay wrote this book about pain management for everyone. This book is divided into two parts first part describe about how pain is wired into body and it reacts.In second part methods how to mitigate and manage pain.
Learnings:
After surgery pain counseling or simply talking is really important for patient to feel better and keep control over pain
We need to keep moving/exercising inactivity promotes health problems/pain.
Regular advice sleep and anti inflammatory food like unprocessed is Crucial for long term health.
Savour the day- think of good memories regularly as it changes our brain and helps manage it.
September 26, 2025
I feel like my expectations of this book were too high. I don’t know that this book needed to be so long. I was bored. About half-way through, I just felt that Gupta was just regurgitating a laundry list of different therapies. I expect it may be comforting that for pain management, there are many, many options to explore.
September 11, 2025
Review of It Doesn't Have to Hurt: Your Smart Guide to a Pain-Free Life by Sanjay Gupta, M.D.
Dr. Gupta definitely has the credentials to write this book and I was eager to learn what he had to say on this topic. He has written a very interesting book that is highly informative, helpful, and empowering. He writes in a style that makes the information easy to understand, demonstrates his wide range of knowledge and research, and shows his compassion. I was encouraged to read of the growing focus and increasing number of studies being done on pain, chronic pain, and pain management.
The book is written in two parts. Part 1, "The New Science of Pain", explains the different types of pain, discusses various studies and findings, and shows the medical field as a whole increasing focus to take on this challenge. Part 2, "Taking Charge for a Pain-Smart Life", offers a wide range of modalities for dealing with pain (traditional and non-traditional) and encourages pain sufferers to become more active in their own care, and more willing to explore non-traditional options.
I highly recommend this book to anyone who deals with chronic pain issues, loves someone who does, or wants to become more informed about this topic. This rates 5 stars from me. A very nice reference to have on hand.
My thanks to Simon & Schuster for allowing me to access a DRC via NetGalley. The book is available now. All thoughts and opinions expressed in this review are my own and are freely given.
Dr. Gupta definitely has the credentials to write this book and I was eager to learn what he had to say on this topic. He has written a very interesting book that is highly informative, helpful, and empowering. He writes in a style that makes the information easy to understand, demonstrates his wide range of knowledge and research, and shows his compassion. I was encouraged to read of the growing focus and increasing number of studies being done on pain, chronic pain, and pain management.
The book is written in two parts. Part 1, "The New Science of Pain", explains the different types of pain, discusses various studies and findings, and shows the medical field as a whole increasing focus to take on this challenge. Part 2, "Taking Charge for a Pain-Smart Life", offers a wide range of modalities for dealing with pain (traditional and non-traditional) and encourages pain sufferers to become more active in their own care, and more willing to explore non-traditional options.
I highly recommend this book to anyone who deals with chronic pain issues, loves someone who does, or wants to become more informed about this topic. This rates 5 stars from me. A very nice reference to have on hand.
My thanks to Simon & Schuster for allowing me to access a DRC via NetGalley. The book is available now. All thoughts and opinions expressed in this review are my own and are freely given.
September 18, 2025
I thought this was excellent and I’m so glad I listened to it. That said, I think it has a niche audience. It’s for lay persons who are interested in hearing about chronic pain, and it’s a broad overview of the current interventions and approaches. It is way too lay-oriented for any kind of clinician to appreciate, and it’s way too detailed for any lay person doesn’t want to read an entire book on “what we currently know about chronic pain.” So the audience is niche, but because I’m in that niche I loved this.
There were so many useful take-aways from this:
—a (very short) list of supplements he supports for helping with chronic pain
—a really nice overview of the different therapeutic or psychological treatments that can help to re-program how your mind messages pain to you
—attention to the concept of social connections and not-loneliness as a way to help with chronic pain
—a whole chapter on the concept of learning to “savor” as one way of refocusing your brain and mindset
—a clear warning to generally avoid surgery for chronic pain because it is by no means a sure resolution of most chronic pain situations and can even make chronic pain worse (I deeply appreciated that message, coming from a *surgeon* whose entire career trained him to do surgery)
—and most of all, 1) the overarching view that chronic pain is a multi-faceted thing which has many different modes of treatment which likely need to be approached in conjunction with each other, and 2) we DO have the ability to re-program our minds to message pain differently to us and we CAN impact some level of the chronic pain we experience. Very empowering!
There were so many useful take-aways from this:
—a (very short) list of supplements he supports for helping with chronic pain
—a really nice overview of the different therapeutic or psychological treatments that can help to re-program how your mind messages pain to you
—attention to the concept of social connections and not-loneliness as a way to help with chronic pain
—a whole chapter on the concept of learning to “savor” as one way of refocusing your brain and mindset
—a clear warning to generally avoid surgery for chronic pain because it is by no means a sure resolution of most chronic pain situations and can even make chronic pain worse (I deeply appreciated that message, coming from a *surgeon* whose entire career trained him to do surgery)
—and most of all, 1) the overarching view that chronic pain is a multi-faceted thing which has many different modes of treatment which likely need to be approached in conjunction with each other, and 2) we DO have the ability to re-program our minds to message pain differently to us and we CAN impact some level of the chronic pain we experience. Very empowering!
September 7, 2025
This book should work well for kindling.
Hocus pocus designed to sell books to desperate people. I'm surprised that voodoo and essential oils aren't included in the possible treatments for pain.
Hocus pocus designed to sell books to desperate people. I'm surprised that voodoo and essential oils aren't included in the possible treatments for pain.
September 11, 2025
Dr. Sanjay Gupta is a respected neurosurgeon and medical correspondent for a cable news network. In "It Doesn't Have to Hurt," Dr. Gupta tackles the complex subject of pain—its causes, manifestations, and treatments. The author provides a detailed description of the mechanisms in the brain that cause us to feel pain.
The most interesting sections of "It Doesn't Have to Hurt" are the anecdotes about people who experience acute or chronic pain, and the ways in which their physicians attempt to provide them with much-needed relief. It is clear that there is no one size fits all when it comes to managing pain. The author discusses a wide variety of strategies, including medications, clinical trials, surgical interventions, and alternative healing, such as meditation, acupuncture, stress management, and cognitive behavioral therapy.
Gupta emphasizes that although surgery may alleviate pain, it does not work in every case. After taking a complete medical history, physicians must carefully evaluate each patient before making a diagnosis and formulating a treatment plan. This book educates us about a topic that affects everyone at one time or another. However, the narrative is filled with jargon, is often slow-moving, and readers may struggle to grasp how the copious information that Gupta provides relates to them.
The most interesting sections of "It Doesn't Have to Hurt" are the anecdotes about people who experience acute or chronic pain, and the ways in which their physicians attempt to provide them with much-needed relief. It is clear that there is no one size fits all when it comes to managing pain. The author discusses a wide variety of strategies, including medications, clinical trials, surgical interventions, and alternative healing, such as meditation, acupuncture, stress management, and cognitive behavioral therapy.
Gupta emphasizes that although surgery may alleviate pain, it does not work in every case. After taking a complete medical history, physicians must carefully evaluate each patient before making a diagnosis and formulating a treatment plan. This book educates us about a topic that affects everyone at one time or another. However, the narrative is filled with jargon, is often slow-moving, and readers may struggle to grasp how the copious information that Gupta provides relates to them.
October 5, 2025
Dr. Gupta does a wonderful job of explaining the role the brain plays in pain and opening the toolbox of things the reader can do on their own to reduce their pain. He also gives the reader the tools to describe their pain in enough detail to give their doctors information in a way that can quicker guide them to the cause of the pain. We are our own best advocates and doctors can only do so much with vague descriptions.
A PCP once told me he was surprised I had so little pain from my chronic condition. Thanks to Dr. Gupta I now know what I am doing right and why my pain is minimal. I also learned other things to try when I do struggle.
I highly recommend this book to those who will advocate for themselves and who have no problem trying different things on their own. I also think this would be a great book to use for pain support groups, as it gives lots of topics for discussion that could lead to things the groups could try as a group.
A PCP once told me he was surprised I had so little pain from my chronic condition. Thanks to Dr. Gupta I now know what I am doing right and why my pain is minimal. I also learned other things to try when I do struggle.
I highly recommend this book to those who will advocate for themselves and who have no problem trying different things on their own. I also think this would be a great book to use for pain support groups, as it gives lots of topics for discussion that could lead to things the groups could try as a group.
November 6, 2025
I can see how some chronic pain sufferers (and their patients) may find some of the content infuriating, especially when Dr. Gupta refers to pain as something being generated in the brain. This is a combination of two seemingly disconnected factors - Dr. Gupta (along with the editors of this book) chose the wrong verb, and the general scientific illiteracy among the average reader. Pain originating elsewhere, and these signals getting registered and interpreted in the brain, may be too awkward an explanation for many readers.
Outside of this, the book contains many nuggets of useful information, particularly in preventing the onset and reducing the impact of pain. Some sections emphasizing exercise reminded me of similar passages from Dr Peter Attia's book, Outlive.
Outside of this, the book contains many nuggets of useful information, particularly in preventing the onset and reducing the impact of pain. Some sections emphasizing exercise reminded me of similar passages from Dr Peter Attia's book, Outlive.
November 11, 2025
I was actually a bit disappointed in this book. I was hoping to learn something new about the understanding and treatment of chronic pain. He did provide a comprehensive discussion of alternative treatments some of which I was not familiar with; however, the bulk of the book leans heavily on information already widely understood. (Eg. Get good sleep, exercise, take care of your mental health, meditation supports healing, eat healthy, stay, socially connected and keep positive relationship relationships with others.)
November 15, 2025
Good book…fails to mention crafting as pain relief. I bead, crochet, knit, sew and embroider to take my mind off my pain. My sister gardens and builds model train scenarios. The hope of the future is in the research and the eventual trickle down of info to all doctors. Surgery prep may well be one answer but few surgeons embrace. Guess I am left to hope that these protocols will be in place for my kids and grandkids as they age. I listened to the book, and Dr. Gupta’s delivery is extremely competent.
November 20, 2025
I like Dr. Gupta and have chronic pain so I wanted to read this one. I wouldn't say there is anything particularly groundbreaking in here that most people with chronic pain haven't heard before but there are some thoughtful ideas throughout. There is a little bit of medical jargon thrown in there here and there which may be difficult for some readers to understand but I wouldn't stop that from reading it. It's really only sprinkled in there. Anyone with chronic pain should read this as there might be something you haven't tried and Dr. Gupta explains it all pretty well, so I'd recommend.
September 22, 2025
3.5 stars! Sanjay writes in a way that is easy to follow, yet still comprehensive. For the most part, it was common knowledge but there were a few nuggets I took away. If you struggle with chronic pain and don't know where to start, this could make a great guide for you to feel more empowered. Thanks to NetGalley for the advanced copy in exchange for my honest review - it's out now!
September 25, 2025
Dr. Gupta provided easy to understand and easy to apply information related to both preventing and treating chronic pain.
Main takeaways for me: Mind over matter. Your brain controls the pain and there are many tools to trick the pain away. Inflammation can be good and a natural part of the healing process.
I would have like a little bit more focus on CBD and other cannabis related information.
Main takeaways for me: Mind over matter. Your brain controls the pain and there are many tools to trick the pain away. Inflammation can be good and a natural part of the healing process.
I would have like a little bit more focus on CBD and other cannabis related information.
October 11, 2025
This book was very easy to read.
It was written for the layperson and the science of pain in the body and the biomechanics was very well explained.
Everything was backed up by scientific study.
Dr Gupta also discusses in a scientific matter and validates “alternative therapies”.
I picked up quite a few helpful bits of information from the book that I will put into practice.
It was written for the layperson and the science of pain in the body and the biomechanics was very well explained.
Everything was backed up by scientific study.
Dr Gupta also discusses in a scientific matter and validates “alternative therapies”.
I picked up quite a few helpful bits of information from the book that I will put into practice.
October 22, 2025
A Rethinking about Pain
Neurosurgeon and journalist Sanjay Gupta does a deep dive into new ways of analyzing a bodily response we all experience—pain. He gives practical “how-tos”, as posited by a variety of professionals, which have been found to significantly help people deal with chronic pain.
Neurosurgeon and journalist Sanjay Gupta does a deep dive into new ways of analyzing a bodily response we all experience—pain. He gives practical “how-tos”, as posited by a variety of professionals, which have been found to significantly help people deal with chronic pain.
November 11, 2025
This is a solid summary of information about chronic pain and I think it would be an excellent place to start if you're just learning about it. I had heard most of this before but it did re-energize me a bit - the mental work of dealing with chronic pain wears you down and it's helpful to hear the positive tidbits of things like this.
November 14, 2025
This book would have great value for anyone with a chronic pain situation, or issues with negative thinking, or who is stuck in an emotional paradigm they can't seem to shake. There are accessible explanations of the actual biology of pain, explorations or the patterns that get set, and many many many resources on how to break them. I'm impressed.
September 17, 2025
An unfortunate bunch of nonsense, completely debunked by the American council on science and health. So much nonsense in fact that ther is now an article addressing how ridiculous this book is. acsh.org.
October 10, 2025
This book is smart, clearly written, and I believe will be helpful to many people. I found the last third of the book especially interesting -- the part where he discusses alternative ways to confront pain.
October 28, 2025
A good review of the current research and knowledge concerning pain, chronic pain in particular. Some useful techniques to help address pain for a sufferer.
Most of the cutting edge treatments would not be easily available to the average person, unfortunately.
Most of the cutting edge treatments would not be easily available to the average person, unfortunately.
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